Expert Anaesthesia Care
for Every Surgery

Medical History & ASA Classification

Complete review of comorbidities, medications, allergies, and previous anaesthetic experiences. Patients are assigned an ASA physical status (I–V) to guide risk stratification.

Focused Investigations

Targeted pre-operative blood work, ECG, 2D echo, PFTs, and specialist consultations — only when clinically indicated, avoiding unnecessary delay or cost.

Airway Assessment

Mallampati, thyromental distance, neck mobility, mouth opening — prediction of difficult intubation and planning of AFOI or video laryngoscopy if needed.

Anaesthetic Plan & Consent

The anaesthesiologist explains the chosen technique — GA, spinal, epidural, regional, or combined — answers questions, and obtains informed consent with full risk discussion.

BIS Monitor

Bispectral Index tracks brain electrical activity, preventing both awareness under anaesthesia and excessive depth. Used routinely at KG Hospital for all GA cases.

Transoesophageal Echo (TOE)

Intraoperative TOE provides real-time cardiac imaging during cardiac and major vascular surgery — assessing valve function, ventricular filling, and regional wall motion.

Invasive Arterial & CVP

Beat-to-beat blood pressure via arterial line and central venous pressure monitoring for haemodynamically unstable patients, complex surgeries, and all cardiac cases.

TOF (Train-of-Four) Monitor

Quantitative neuromuscular monitoring ensures complete reversal of muscle relaxants before extubation — eliminating residual curarisation, a key cause of post-op respiratory complications.

Core Temperature Monitoring

Oesophageal or nasopharyngeal probes track core temperature during major surgeries. Normothermia maintenance reduces infection, bleeding, and cardiac complications.

WHO Surgical Safety Checklist

Mandatory Sign-In, Time-Out, and Sign-Out for every surgical case — a globally validated protocol that has demonstrably reduced surgical mortality and complications.

Subspeciality Depth Across Every Surgical Domain

KG Hospital's anaesthesiology team is not a generalist group — each anaesthesiologist has subspeciality training in cardiac, neuro, paediatric, or regional anaesthesia, matched to the surgical programme they support. This means a cardiac anaesthesiologist manages every open-heart case; a neuro-anaesthesiologist manages every awake craniotomy. Subspeciality depth translates directly into safer outcomes.

Continuity from PAC to ICU

At KG Hospital, the anaesthesiologist who performs the Pre-Anaesthesia Clinic assessment also plans the intraoperative technique and — in complex cases — manages the patient in the ICU post-operatively. This continuity eliminates communication failures that often lead to adverse events when multiple disconnected teams care for the same patient.

Opioid-Sparing, Enhanced Recovery Protocols

KG Hospital follows Enhanced Recovery After Surgery (ERAS) principles: regional anaesthesia, multimodal analgesia, early oral fluids, early mobilisation, and minimal opioids. Patients go home earlier, with less pain, less nausea, and fewer complications. ERAS protocols are active for colorectal, urological, orthopaedic, and thoracic cases.

Safety Culture, Not Just Checklists

NABH accreditation demands rigorous anaesthesia documentation, pre-operative assessment, and post-operative follow-up. But at KG Hospital, safety culture goes beyond compliance: regular morbidity and mortality reviews, simulation-based difficult airway drills, and mandatory debriefs after critical events create a learning environment that continuously improves outcomes.